Healthcare Provider Details
I. General information
NPI: 1588479927
Provider Name (Legal Business Name): FIRST CHOICE HOME HEALTH OF SOUTHERN UTAH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/12/2025
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2069 N MAIN ST STE 106
CEDAR CITY UT
84721-5602
US
IV. Provider business mailing address
560 W 800 N # 204
OREM UT
84057-3746
US
V. Phone/Fax
- Phone: 435-865-7481
- Fax:
- Phone: 801-434-4100
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name: MR.
RICHARD
BEAU
SORENSEN
Title or Position: COO
Credential:
Phone: 801-319-5926